由下异型胃腺引起的胃张力症
Mayu Kobayashi1, Yasuhiko Hamada1, Miki Usui2
1Department of Gastroenterology and Hepatology Mie University Hospital Tsu Japan.
JGH open : an open access journal of gastroenterology and hepatology
|October 29, 2024
概括
粘膜下异型胃腺 (SHGG) 可以发展为罕见的瘤. 内镜下粘膜剖析 (ESD) 成功治疗了怀疑的腺瘤,证实了SHGG与生殖不良并使得准确的诊断.
科学领域:
- 胃肠病学 胃肠病学
- 手术病理学手术病理学
- 在瘤学瘤学.
背景情况:
- 粘膜下异型胃腺 (SHGG) 是良性异型胃组织.
- 由SHGGs引起的新生体不常见,并且很难通过活检诊断.
- 早期检测和准确的诊断对于管理这些罕见疾病至关重要.
研究的目的:
- 报告由SHGG引起的瘤病例.
- 为了说明与SHGG相关的瘤的诊断挑战和治疗方法.
- 突出内镜下粘膜解剖 (ESD) 在诊断和治疗中的作用.
主要方法:
- 一名74岁的老人接受了查食道胃道透镜检查.
- 在胃中发现了一个带有中央孔的亚皮质病变.
- 在怀疑甲状腺腺瘤的情况下进行了内镜下粘膜解剖 (ESD).
主要成果:
- 切除样本的病理检查证实SHGG患有焦点发育不良.
- 患者在ESD后经历了无事件的恢复.
- 在5年的随访期间没有观察到复发.
结论:
- ESD对于SHGGs产生的瘤的治疗和准确的病理诊断都是有效的.
- 这一案例强调了在胃亚皮质病变的差异诊断中考虑SHGG的重要性.
- 对于患有SHGG相关的发育不良症的患者来说,长期随访至关重要.
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